Tina Arendash, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW019092 Issued in PA

Practice address

179 S Wyoming Ave
Kingston, PA 18704-3405

Phone

(570) 285-8025

Fax

(570) 696-4361

NPI assigned

Oct 26, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 20/20 Counseling

  • Community/Behavioral Health Agency
  • Kingston, PA
  • NPI 1699217299
  NPD (past) Authorized official
• 20/20Counseling, LLC

  • Mental Health Counselor
  • Kingston, PA
  • NPI 1316499833
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479168000000",
    "number": "1104901032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 SYCAMORE DR",
            "city": "DRUMS",
            "state": "PA",
            "postal_code": "182222049",
            "telephone_number": "570-599-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 S WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043405",
            "telephone_number": "570-285-8025",
            "fax_number": "570-696-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARENDASH",
        "first_name": "TINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2016-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrews and Verazin Surgical Consultants
• Anthony P Andrews, MD
• Peter J Andrews, MD
• Adriana Arana, MS, LPC, NCC
• Arch Comfort, Inc.
• Katherine Arensmeyer, CRNP
• Thomas Armstrong V, OD
• Nicole Ashton, PSYD
• Associated Family Home Care Inc
• Associated Respiratory Care Practitioners Inc

• All providers in Kingston, PA
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.